دورية أكاديمية

Caregiver Observations of Infant Well-Being Before and After Cleft Lip Surgery.

التفاصيل البيبلوغرافية
العنوان: Caregiver Observations of Infant Well-Being Before and After Cleft Lip Surgery.
المؤلفون: Rosenberg JM; Craniofacial Center, University of Illinois Hospital and Health Sciences System, Chicago, Illinois, USA., Bellucci CC; Shriners Hospitals for Children, Chicago Cleft/Craniofacial, Chicago, Illinois, USA., Edwards TC; Health Services, University of Washington, Seattle, Washington, USA., Heike CL; Seattle Children's Hospital, Craniofacial Center, Seattle, Washington, USA., Leroux BG; University of Washington, Seattle, Washington, USA., Jones SM; Public Health Sciences, Fred Hutchinson Cancer Research Center, Seattle, Washington, USA., Stueckle LP; Seattle Children's Hospital, Craniofacial Center, Seattle, Washington, USA., Patrick DL; School of Public Health, University of Washington, Seattle, Washington, USA., Albert M; Shriners Hospitals for Children, Chicago Cleft/Craniofacial, Chicago, Illinois, USA., Aspinall CL; Children's Hospital and Regional Medical Center, Seattle, Washington, USA., Kapp-Simon KA; Shriners Hospitals for Children, Cleft/Craniofacial Chicago, Illinois and University of Illinois at Chicago, Chicago, Illinois, USA.
المصدر: The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association [Cleft Palate Craniofac J] 2024 Feb; Vol. 61 (2), pp. 271-283. Date of Electronic Publication: 2022 Sep 15.
نوع المنشور: Journal Article; Research Support, N.I.H., Extramural
اللغة: English
بيانات الدورية: Publisher: SAGE Publications in Association with American Cleft Palate-Craniofacial Association Country of Publication: United States NLM ID: 9102566 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1545-1569 (Electronic) Linking ISSN: 10556656 NLM ISO Abbreviation: Cleft Palate Craniofac J Subsets: MEDLINE
أسماء مطبوعة: Publication: 2018- : [Thousand Oaks, CA] : SAGE Publications in Association with American Cleft Palate-Craniofacial Association
Original Publication: Pittsburgh, PA : The Association, [1991-
مواضيع طبية MeSH: Cleft Lip*/surgery , Cleft Palate*/surgery, Infant ; Humans ; Caregivers ; Infant Welfare ; Feeding Methods
مستخلص: Objective: To evaluate the sensitivity to change of daily ratings of the comfort (COMF) and behavioral/emotional health (BEH) domains of the Infants with Clefts Observation Outcomes Instrument (iCOO) at 3 time points, and to assess the association of post-surgical interventions on iCOO ratings.
Design: The COMF and BEH domains were completed by caregivers before (T0), immediately after (T1), and 2-months after (T2) cleft lip (CL) surgery. Analyses included descriptive statistics, correlations, t -tests, and generalized estimating equations.
Participants: Caregivers ( N   =  140) of infants with CL with/without cleft palate.
Main Outcome Measures: The COMF and BEH domain scores of the iCOO: Scale (SCALE), a summary of observable signs; and Global Impression (IMPR), a single item measuring caregivers' overall impression.
Results: Daily COMF and BEH SCALE and IMPR scores changed significantly during T1 ( P's  < 0.001) but not T0 or T2. Day 1 and 7 T0 scores were significantly higher than Day 1 and 7 T1 scores ( P's <0.001 to <0.012) but similar at T2 ( P's  > 0.05). After CL surgery, the combined use of immobilizers and nasal stents and the use of multiple feeding methods with treatment for gastroesophageal reflux were associated with lower daily scores in COMF and BEH SCALE and IMPR ( P's : 0.040 to <0.001).
Conclusions: COMF and BEH iCOO scores were sensitive to daily changes in infant well-being following CL surgery. Future studies should further investigate impact of post-surgical treatments on infant well-being.
Competing Interests: Declaration of Conflicting InterestsThe author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.
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معلومات مُعتمدة: R01 DE024986 United States DE NIDCR NIH HHS
فهرسة مساهمة: Keywords: cleft; iCOO; infant well-being; observer-reported outcome; patient reported outcomes
تواريخ الأحداث: Date Created: 20220916 Date Completed: 20231227 Latest Revision: 20240802
رمز التحديث: 20240802
مُعرف محوري في PubMed: PMC11037889
DOI: 10.1177/10556656221125371
PMID: 36112919
قاعدة البيانات: MEDLINE
الوصف
تدمد:1545-1569
DOI:10.1177/10556656221125371